StrokePhase 1/2NCT01453829
Study to Assess the Safety and Effects of Autologous Adipose-Derived Stromal Cells in Patients After Stroke
A Phase 1/2 study testing Harvesting and Isolation of Stem Cells in people with Stroke, run by Ageless Regenerative Institute at 1 site in Mexico.
Trial summary
The intent of this clinical study is to answer the questions: 1. Is the proposed treatment safe 2. Is treatment effective in improving the disease pathology of patients after Stroke and clinical outcomes? Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Stroke
- What is being tested?
- Harvesting and Isolation of Stem Cells
- Type of treatment
- Injection or infusion, Surgery or procedure
- How many people
- 0 participants
- Where
- 1 siteMexico
- Study dates
- Oct 2014to Jun 2015
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Males and Females between Age 18 and 80 years.
- Symptoms and signs of clinically definite ischemic stroke or hemorrhagic stroke
- DWI-MRI has reliably shown relevant ischemic lesions
- Extracranial duplex/transcranial Doppler must confirm intra/extracranial arteries permeability
- The stroke is severe (NIH Stroke Scale >= 8 before procedure)
- Up to date on all age and gender appropriate cancer screening per American Cancer Society.
Who cannot join
- Females who are pregnant or nursing or females of childbearing potential who are unwilling to maintain contraceptive therapy for the duration of the study
- Life expectancy < 6 months due to concomitant illnesses.
- Exposure to any investigational drug or procedure within 1 month prior to study entry or enrolled in a concurrent study that may confound results of this study.
- Active infectious disease and/or known to have tested positive for HIV, HTLV, HBV, HCV, CMV (IgM > IgG) and/or syphilis will have expert consultation to determine eligibility based on the patient's infectious status
- Any illness which, in the Investigator's judgment, will interfere with the patient's ability to comply with the protocol, compromise patient safety, or interfere with the interpretation of the study results
- Patients on chronic immunosuppressive transplant therapy
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- Systolic blood pressure (supine) ≤90 mmHg or greater than 180mmHg
- Resting heart rate > 100 bpm;
- Active clinical infection being treated by antibiotics within one week of enrollment.
- Known drug or alcohol dependence or any other factors which will interfere with the study conduct or interpretation of the results or who in the opinion of the investigator are not suitable to participate.
- History of cancer (other than non-melanoma skin cancer or in-situ cervical cancer) in the last five years.
- Unwilling and/or not able to give written informed consent.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: An Open-label, Non-Randomized, Multi-Center Study to Assess the Safety and Effects of Autologous Adipose-Derived Stromal Cells Delivered Into the Internal Carotid Artery and Intravenously in Patients After Stroke
The intent of this clinical study is to answer the questions:
- Is the proposed treatment safe
- Is treatment effective in improving the disease pathology of patients after Stroke and clinical outcomes?
Read the detailed description
Adipose-Derived Stromal Cells (ASCs) are a novel therapy for patients suffering from stroke. By injecting ASCs either into the internal carotid artery, these regions may become populated with the ASCs, thereby potentially restoring brain function. ASCs are a patient-derived ("autologous") cell transplantation technology that is delivered to the patient into the internal carotid artery and intravenously. The therapy is composed of cells derived from a patients' own adipose tissue that are isolated within approximately 1 hour and immediately delivered back to the patient.
- Conditions
- Stroke
- Being tested
- Harvesting and Isolation of Stem Cells
- Medical subject headings
- Stroke
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Harvesting and Isolation of Stem CellsProcedure or surgery
This will be an open-label, non-randomized multi-center patient sponsored study of ASC implantation using a catheter delivery system. ASCs will be derived from the patient's adipose-derived tissue. Liposuction using local anesthesia and syringe collection will be performed to collect the adipose tissue specimen for subsequent processing to isolate the stem cells. The cells will be implanted into the Internal Carotid Artery and intravenously.
What is being measured
The primary outcome is the main question the study is designed to answer.
Improvement in clinical function from baseline as assessed by the NIH stroke scale at three months
Measured: 3 months
Number of participants with adverse events
The safety of adipose-derived stem cell injection will be evaluated by assessment of the frequency and nature of adverse events occurring during the study injection and up to the 6-month period following treatment.
Measured: 1 week
Number of participants with adverse events at 2 weeks
Measured: two weeks
Number of participants with adverse events at 4 weeks
Measured: 4 weeks
Improvement in clinical function from baseline as assessed by the NIH stroke at 6 months
Measured: 6 months
Number of participants with adverse events at 3 weeks
Measured: 3 weeks
Improvement in clinical function as assessed by Barthel Scale compared to baseline at 6 months
Measured: 6 months
Secondary outcomes (6)
Improvement in clinical function as assessed by Modified Rankin Score compared to baseline at 3 months
Measured: 3 months
Improvement in clinical function as assessed by Barthel Scale compared to baseline at 3 months
Measured: 3 months
Improvement in Magnetic resonance imaging (MRI) scan compared to baseline at three months
Measured: 3 months
Improvement in clinical function as assessed by Modified Rankin Score compared to baseline at 6 months
Measured: 6 months
Improvement in clinical function as assessed by Barthel Scale compared to baseline at 6 months
Measured: 6 months
Improvement in Magnetic resonance imaging (MRI) scan compared to baseline at six months
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Oct 2011 (estimated)
- Study startOct 2014
- Primary completionDec 2014 (estimated)
- Study completionJun 2015 (estimated)
Why it stopped: no enrolled participants
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for StrokeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ageless Regenerative Institute
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Instituto de Medicina Regenerativa
- Responsible party
- Sponsor
- Investigators
- Victor D Morales, MD, Principal investigator, Instituto de Medicina RegenerativaClemente Zuñiga, MD, Principal investigator, Instituto de Medicina Regenerativa
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01453829
- Sponsor's protocol ID
- ADI-ST-ME-001
- Status last verified
- Jul 2017
- First submitted
- 3 Oct 2011
- Last updated
- 21 Jul 2017
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 Jul 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-label, Non-Randomized, Multi-Center Study to Assess the Safety and Effects of Autologous Adipose-Derived Stromal Cells Delivered Into the Internal Carotid Artery and Intravenously in Patients After Stroke
- ClinicalTrials.gov ID
- NCT01453829
- Acronym / sponsor ID
- ADI-ST-ME-001
- Conditions
- Stroke
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: no enrolled participants
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Ageless Regenerative InstituteIndustry (pharma, biotech, devices)
- Collaborators
- Instituto de Medicina Regenerativa
- Study start
- Oct 2014
- Primary completion
- Dec 2014 (estimated)
- Study completion
- Jun 2015 (estimated)
- First posted
- 18 Oct 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The intent of this clinical study is to answer the questions:
- Is the proposed treatment safe
- Is treatment effective in improving the disease pathology of patients after Stroke and clinical outcomes?
Detailed description
Adipose-Derived Stromal Cells (ASCs) are a novel therapy for patients suffering from stroke. By injecting ASCs either into the internal carotid artery, these regions may become populated with the ASCs, thereby potentially restoring brain function. ASCs are a patient-derived ("autologous") cell transplantation technology that is delivered to the patient into the internal carotid artery and intravenously. The therapy is composed of cells derived from a patients' own adipose tissue that are isolated within approximately 1 hour and immediately delivered back to the patient.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Males and Females between Age 18 and 80 years.
- Symptoms and signs of clinically definite ischemic stroke or hemorrhagic stroke
- DWI-MRI has reliably shown relevant ischemic lesions
- Extracranial duplex/transcranial Doppler must confirm intra/extracranial arteries permeability
- The stroke is severe (NIH Stroke Scale >= 8 before procedure)
Key exclusion criteria (12 listed)
- Females who are pregnant or nursing or females of childbearing potential who are unwilling to maintain contraceptive therapy for the duration of the study
- Life expectancy < 6 months due to concomitant illnesses.
- Exposure to any investigational drug or procedure within 1 month prior to study entry or enrolled in a concurrent study that may confound results of this study.
- Active infectious disease and/or known to have tested positive for HIV, HTLV, HBV, HCV, CMV (IgM > IgG) and/or syphilis will have expert consultation to determine eligibility based on the patient's infectious status
- Any illness which, in the Investigator's judgment, will interfere with the patient's ability to comply with the protocol, compromise patient safety, or interfere with the interpretation of the study results
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Harvesting and Isolation of Stem CellsThis will be an open-label, non-randomized multi-center patient sponsored study of ASC implantation using a catheter delivery system. ASCs will be derived from the patient's adipose-derived tissue. Liposuction using local anesthesia and syringe collection will be performed to collect the adipose tissue specimen for subsequent processing to isolate the stem cells. The cells will be implanted into the Internal Carotid Artery and intravenously. | Procedure or surgery | – |
Primary outcome
Improvement in clinical function from baseline as assessed by the NIH stroke scale at three months
Time frame: 3 months
Number of participants with adverse events
Time frame: 1 week
The safety of adipose-derived stem cell injection will be evaluated by assessment of the frequency and nature of adverse events occurring during the study injection and up to the 6-month period following treatment.
Number of participants with adverse events at 2 weeks
Time frame: two weeks
Number of participants with adverse events at 4 weeks
Time frame: 4 weeks
Improvement in clinical function from baseline as assessed by the NIH stroke at 6 months
Time frame: 6 months
Number of participants with adverse events at 3 weeks
Time frame: 3 weeks
Improvement in clinical function as assessed by Barthel Scale compared to baseline at 6 months
Time frame: 6 months
6 secondary outcomes
Improvement in clinical function as assessed by Modified Rankin Score compared to baseline at 3 months
Time frame: 3 months
Improvement in clinical function as assessed by Barthel Scale compared to baseline at 3 months
Time frame: 3 months
Improvement in Magnetic resonance imaging (MRI) scan compared to baseline at three months
Time frame: 3 months
Improvement in clinical function as assessed by Modified Rankin Score compared to baseline at 6 months
Time frame: 6 months
Improvement in clinical function as assessed by Barthel Scale compared to baseline at 6 months
Time frame: 6 months
Improvement in Magnetic resonance imaging (MRI) scan compared to baseline at six months
Time frame: 6 months
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jul 2017.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Victor D Morales, MD principal investigator
Instituto de Medicina Regenerativa
Clemente Zuñiga, MD principal investigator
Instituto de Medicina Regenerativa
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Harvesting and Isolation of Stem Cells in people with Stroke, run by Ageless Regenerative Institute at 1 site in Mexico.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: withdrawn, as of the sponsor's last update on 21 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Mexico. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Improvement in clinical function from baseline as assessed by the NIH stroke scale at three months (time frame: 3 months). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jul 2017.